Active NPI
James Brian Montefeltri, LAT
- Athletic Trainer
- Canton, CT
National Provider Identifier
1831362599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000373
- Practice address
- 345 Albany Tpke
Canton, CT 06019-2529 - Phone
- (860) 693-6226
- Fax
- (860) 693-8002
- NPI assigned
- Apr 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000373 | CT | Primary |
Addresses
Primary practice location
345 Albany Tpke
Canton, CT 06019-2529
Mailing address
97 Hart Dr
Litchfield, CT 06759-2611
Phone (860) 307-7717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000373 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton Physical Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Canton, CT
- NPI 1649493644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1831362599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 HART DR",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067592611",
"telephone_number": "860-307-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 ALBANY TPKE",
"city": "CANTON",
"state": "CT",
"postal_code": "060192529",
"telephone_number": "860-693-6226",
"fax_number": "860-693-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEFELTRI",
"first_name": "JAMES",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "000373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.